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NPI Code Detail

MEDICARE: MARITZA ROMAN FNP-C

MEDICARE:   MARITZA  ROMAN  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP111278TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144326521
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARITZA ROMAN FNP-C
Provider Business Mailing Address
First Line : 2600 CEDAR AVE
Second Line :
City : LAREDO
State : TX
Zip : 78040-4040
Country : US
Telephone Number : 956-795-4910
Fax Number : 956-795-2419
Provider Business Practice Location Address
First Line : 2600 CEDAR AVE
Second Line :
City : LAREDO
State : TX
Zip : 78040-4040
Country : US
Telephone Number : 956-795-4910
Fax Number : 956-795-2419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 03/02/2016

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Directions to “ MARITZA ROMAN FNP-C” Practice Location

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